Individual
MRS. MELISSA LEE HALE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
10672 US HIGHWAY 61, JACKSON, MO 63755-7171
(573) 837-7144
(636) 333-4510
Mailing address
PO BOX 100, POCAHONTAS, MO 63779-0100
(573) 837-7144
(636) 333-4510
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
2017038749
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NONE
NONE CURRENTLY
—
Enumeration date
09/23/2019
Last updated
12/31/2023
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